Madera County Community Health Assessment
Summary: The 2023 Live Well Madera County Community Health Assessment highlights equity and community voice through “equity spotlights” that call out disparities among communities and/or groups within Madera County related to health outcomes and various risk factors. The assessment is divided into three main sections followed by resources and appendices: Social Determinants of Health, Health Behaviors, and Health Status and Outcomes.
Findings:
For Social Determinants of Health: Madera County has educational attainment lower than for California overall; the employment rate is also lower, but percentage of residents in poverty higher than for the state, particularly for those under age 18; the county has higher death rates from motor vehicle accidents, fire-related deaths, and homicides compared with California overall; juvenile arrest rates are higher than for the state, and the number of people incarcerated between the ages of 15 and 64 years of age is higher than for California overall and the United States; the county has a shortage of primary care, dental care, and mental health care providers.
For Health Behaviors: The county's top behavioral risks include physical inactivity, driving while intoxicated, and teenage pregnancy. The top protective factors include cancer screening for cervical cancer and having more available of condoms in stores and on the shelves compared with California overall.
For Health Status and Outcomes: Madera County has a lower cancer incidence compared with California and the United States but a higher death rate for cancer than for California; the prevalence of asthma is higher than for California; the obesity percentage is lower, but there is a larger burden of diabetes than for California overall; a higher percentage of children, teens, and adults have never been to a dentist compared to other California counties; anxiety disorders and depression are the county's top mental health disorders.
This report includes California Health Interview Survey (CHIS) data from 2017–2020 on oral health, and 2021 CHIS data on current insurance.
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